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Descriptions of physical therapy management of infants with congenital muscular torticollis in the United States of America
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O'Connell, Melanie D.. Descriptions of physical therapy management of infants with congenital muscular torticollis in the United States of America. Retrieved from https://doi.org/doi:10.7282/T37D2XDQ

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TitleDescriptions of physical therapy management of infants with congenital muscular torticollis in the United States of America
NameO'Connell, Melanie D. (author); Kaplan, Sandra L. (chair); Rutgers University; School of Health Professions
Date Created2016
Other Date2016-10 (degree)
SubjectHealth Sciences, Torticollis--Treatment--United States, Physical therapy for infants
Extent1 online resource (352 p. : ill.)
DescriptionPurpose: To describe patterns of physical therapy management used by PTs in the USA who treat infants with congenital muscular torticollis (CMT). Practice trends for PT referral, screening, examination, intervention, and discharge of infants with CMT are compared to current literature, including recent clinical practice guideline (CPG) recommendations. Methods: An online survey was completed by volunteers solicited through the Section on Pediatrics monthly e-newsletters and a posting on its website, and through purposeful identification of PTs in children’s hospitals and private practices. Results: 220 pediatric physical therapists in the USA participated in the survey with at least one participant from every state & the District of Columbia. Significant findings include: a relatively late age of referral to PT; positive report of screening for non-muscular causes; measurement of the recommended components at initial examination and discharge, but not using recommended objective tests, with 50% visually estimating cervical ROM; use of interventions that are congruent with the recommended best evidence, but limited familiarity with supplemental interventions, and limited variability in frequency of treatment. A small subset (0.5%-15.1%) of US PTs is using interventions which do not have evidence to support their use with CMT. The majority of PTs (76%) report discharge with full ROM, midline head posture and symmetrical reactions; and a minority of patients with CMT (10%) return for a second episode of care after they have been discharged. Conclusion: The data yields practice patterns that are partially consistent with current CMT literature and CPG recommendations. Most, but not all, US PTs show appropriate screening procedures; Greater consensus is needed on the methods of objective measurement that should be used for CMT; and US PTs should be seeking out interventions with evidence to support their clinical use with CMT.
NotePh.D.
NoteIncludes bibliographical references
Noteby Melanie D. O'Connell
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/T37D2XDQ
Languageeng
CollectionSchool of Health Related Professions ETD Collection
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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